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CSG SK- SSL-BOX- 24 Steve Mullan 09 / 11 / 17 14 : 49 PAGE 1 <br /> Safety = Kleen Systems , Inc . <br /> 2600 N Central Expy , Suite 200 <br /> Richardson , TX 75080 <br /> CORPORATE : 800 - 669- 5740 <br /> 24 HR EMERGENCY : 800- 468 - 1760 ( Safety-Kleen ) <br /> 2095451011 <br /> REFERENCE NBR , <br /> CUSTOMER# G011213 Gordon Trucking Inc 74725844 - 1704524151 <br /> 12550 S Harlan Rd SRVC WEEK : 2017 - 37 <br /> Attn Bob SRVC DATE : 09 / 11 / 17 <br /> Lathrop CA 95330 - 8744 <br /> PHONE 209 - 640 - 0555 <br /> BILL TO CUSTOMER # BILL TO ADDRESS : <br /> G011880 Gordon Trucking Inc <br /> 151 Stewart Rd Sw <br /> Pacific WA 98047 - 2108 <br /> PHONE 999 - 999 - 9999 <br /> PURCHASE ORDER# TAX EXEMPT # <br /> PRODUCT/SERVICES <br /> SERVICE / TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 8003369 DRUM , 55 GL BLACK STEEL 0 6 . 000 76 . 0000 39 . 90 495 . 90 <br /> SERVICE TERM 24 WEEK <br /> 3383 DRUM , 55 GAL FOR O . F . 4 . 000 10 . 0000 0 . 00 40 . 00 <br /> SERVICE TERM 24 WEEK <br /> 83383 DRUM , 55 WASTE O . F . 4 . 000 55 . 0000 0 . 00 220 . 00 <br /> SERVICE TERM 24 WEEK <br /> 898560 CARTRIDGE OIL FILTERS SSG 6 . 000 250 . 0000 0 . 00 1500 . 00 <br /> SERVICE TERM 24 WEEK <br /> # CONTS : 6 TSDF : WI MANIFEST # : 006192975SKS FORM CD : US SHIP # 223382041 <br /> CNT # : 170908421961 QTY : 150 WT /VOL P PROF# 156777 SKDOT 7612003 <br /> CNT # : 170908421962 QTY : 150 WT /VOL P PROF# 156777 SKDOT 7612003 <br /> CNT # : 170908421963 QTY : 150 WT /VOL P PROF# 156777 SKDOT 7612003 <br /> CNT # : 170908421964 QTY : 150 WT /VOL P PROF# 156777 SKDOT 7612003 <br /> CNT # : 170908421965 QTY : 150 WT /VOL P PROF# 156777 SKDOT 7612003 <br /> CNT # : 170908421966 QTY : 150 WT /VOL P PROF # 156777 SKDOT 7612003 <br /> 100001 FEE , FUEL SURCHARGE 1 . 000 10 . 8300 0 . 95 11 . 78 <br /> 3230 TAX HANDLING N/ C DRUM DROP 30 4 . 000 0 . 0000 0 . 00 0 . 00 <br /> TOTAL SERVICE / PRODUCTS 401 . 8300 40 . 85 2267 . 68 <br /> TOTAL CHARGE 2267 . 68 <br /> CREDITS 0 . 00 <br /> - --- -- -- -- -- <br /> TOTAL DUE 2267 . 68 <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT 2267 . 68 <br /> GENERATOR STATUS <br /> 0 - 220 lbs /month <br /> Customer certifies that ( i ) the above -named materials are properly <br /> classified , packaged , marked and labeled , and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation ( ii ) no material change has occurred <br /> either in the characteristics of the waste /material or in the process <br /> generating the waste /material , and ( iii ) the above referenced <br /> Generator Status is correct . Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions ( 1 ) set forth in ( a ) the <br /> General Terms and Conditions provided separately to Customer or ( b ) <br /> any SK agreement signed by Customer and SK , and ( 2 ) incorporated <br /> herein by reference . Unless otherwise indicated in the payment <br /> received section , SK is authorized to charge Customer ' s account for <br />